LAKE PSYCHOLOGICAL SERVICES
NPI 1598136665
Psychologist - Clinical in Indiana, PA

Q: What is Lake Psychological Services's NPI number?

The NPI number for Lake Psychological Services is 1598136665. It was assigned to this organization in the NPPES registry on October 14, 2015.

Q: What is Lake Psychological Services's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Active since October 14, 2015

163 PLAZA RD, INDIANA, PA 15701(724) 465-2311(724) 465-2339 Get Directions Write a Review

NPPES record last updated: October 14, 2015. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Lake Psychological Services NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAKE PSYCHOLOGICAL SERVICES (NPI 1598136665) is a healthcare organization registered as a clinical in Indiana, Pennsylvania and active in the NPI registry since October 2015. The organization lists Tannen Stahley-lake, Psychologist, as its authorized official.

NPPES Registry Identity

NPI1598136665

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameLAKE PSYCHOLOGICAL SERVICES

Location Address163 PLAZA RDIndiana, PA 15701-3264

Mailing Address163 Plaza RdIndiana, PA 15701-3264 · (724) 465-2311 · Fax (724) 465-2339

Phone(724) 465-2311

Fax(724) 465-2339

Organization SubpartNo

Authorized OfficialTannen Stahley-lakePsychologist · (724) 465-2311

Enumeration DateOctober 14, 2015

✔ NPI 1598136665 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

Licenses✔ Licensed in PA · PS015411✔ Licensed in PA · PS017929

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License CW017359 (PA)

163 PLAZA RD, Indiana, PA 15701

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EDWARD STANCOMBE LSW

Counselor (Mental Health)